X-ray exam of mastoids at HCA FLORIDA LAKE CITY HOSPITAL
1100 SW 11TH STREET, LIVE OAK, FL · HCA Florida Healthcare · · NPI 1992751879
$193.50
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$193.50
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$23.22 with AvMed vs $653.41 with Careworks (Rockport Community) — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| AvMed | HIX | $23.22 | ↓ -88% |
| Simply | MGMCR | $29.80 | ↓ -85% |
| Humana | PPO | $38.70 | ↓ -80% |
| Humana | HMO | $38.70 | ↓ -80% |
| Evolutions | TieredNetwork | $44.51 | ↓ -77% |
| United | OptionsPPO | $45.67 | ↓ -76% |
| AvMed | HMOFI | $46.44 | ↓ -76% |
| Sunshine State Health Plan | QHP | $49.34 | ↓ -75% |
| AvMed | ASOEO | $54.18 | ↓ -72% |
| Aetna | ASA | $58.05 | ↓ -70% |
| Molina Healthcare | HIX | $61.92 | ↓ -68% |
| United | GlobalBenefitPlan | $87.08 | ↓ -55% |
| AvMed | HIXOON | $96.75 | ↓ -50% |
| Prime Health Sheriff | WORKERSCOMP | $96.75 | ↓ -50% |
| Prime Health Sheriff | COMM | $96.75 | ↓ -50% |
| Plotkin Health | COMM | $96.75 | ↓ -50% |
| Hamilton County Jail | Prison | $104.49 | ↓ -46% |
| Multiplan | Primary | $150.93 | ↓ -22% |
| PPO Next | PPO | $164.47 | ↓ -15% |
| PPO Next | COMM | $164.47 | ↓ -15% |
| Multiplan | Complementary | $164.47 | ↓ -15% |
| Evolutions | TRADITIONALPPO | $164.47 | ↓ -15% |
| NovaNet | COMM | $174.15 | ↓ -10% |
| United | AllPayerAppendix | $245.18 | ↑ +27% |
| CorVel Corporation | WORKERSCOMP | $620.74 | ↑ +221% |
| Prime Health | WC | $633.81 | ↑ +228% |
| Careworks (Rockport Community) | WORKERSCOMP | $653.41 | ↑ +238% |
| Aetna | PPO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of mastoids at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $643.50 | $7.82 – $780.30 |
| martin north hospital | Stuart | $596.70 | $6.99 – $459.00 |
| indian river hospital | Vero Beach | $596.70 | $6.91 – $734.40 |
| Boca Raton Regional Hospital | BOCA RATON | $329.55 | $97.28 – $331.07 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | $227.83 | $79.88 – $235.69 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $94.39 – $182.21 |
| Adventhealth Lake Wales | Lake Wales | not published | $77.67 – $242.37 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $85.22 – $286.15 |